JOACHIM AJALA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026960

License Status

NOT RENEWED

Business

First Name

JOACHIM

Last Name

AJALA

Business Name

JOACHIM AJALA

Original Issue Date

03/15/2006

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2012